Richmond) Community Health Worker

Job Details

Job Location:

Richmond - Richmond, KY 40475

Job Category:
Health Care

At White House Clinics, we do health care differently. Our multi-disciplinary care teams incorporate the expertise of medical, dental, behavioral health, pharmacy, and care navigation professionals to provide patients with comprehensive care designed to help them achieve their health goals. While our work is fast-paced, our teams enjoy being able to work collaboratively to support patients.

White House Clinics employees enjoy a competitive wage and robust benefit package including:

• Employer Paid Health, Life & Disability Insurance
• 4 Weeks of PTO
• Retirement Plan with up to 4% Employer Match
• 8 Paid Holidays
• And More!

Many employees work alternative work schedules which allow them a day off during the week.

At White House Clinics, we believe in providing our employees with opportunity for both personal and professional growth in a challenging and rewarding work environment. We recognize the contributions that each person makes to the team and value each person’s input as we work to deliver outstanding patient care.

The Community Health Worker works as part of the primary care team to support patient understanding of chronic conditions and to encourage a healthy lifestyle. The Community Health Worker will facilitate a shared goal model to achieve care that is patient and family centered. Additionally, the Community Health Worker will assist patients in coordinating care across multiple care delivery settings and in accessing community resources to overcome barriers in improving health.

• Participate as a key member of the care team, including participating in the morning huddle and other team based activities.
• Maintain communication with the care team by documenting conversations with and/or relating to patient in the electronic health record.
• Assist with other duties or in other departments as instructed by supervisor.

• Assess patient’s health literacy to facilitate selection of appropriate education interventions.
• Receive health education referrals from providers. Complete approved disease management or healthy behavior curricula with patients.
• Assist patients in setting self-management goals utilizing motivational interviewing techniques.
• Monitor patient progress on plan of care and facilitate changes as needed.
• Remain informed of approved tools and documents that support a guided care process.

• Cultivate and support primary care and subspecialty co-management with timely communication, inquiry, follow up, and integration of information into the care plan regarding transitions-in-care and referrals.
• Coordinate communication with patient and care team after inpatient discharge and/or emergency department visits.
• Reinforce patient understanding of appropriate care setting if needed.
• Serve as a key contact and resource for family members and other care providers for high-risk patients.
• Facilitate and attend meetings between patient, families, care team, payers and community resources, as needed.

• Assess patient and family’s unmet health and social needs.
• Provide navigation assistance with community resources such as food/nutrition, housing, advocacy, health care navigation, job searching, transportation assistance and any other non-medical need.
• Complete referrals to community resources as required.
• Ensure effective tracking of test results, medication management, and adherence to follow-up appointments by working with appropriate health information staff.
• Utilize community resources lists, submit updates to the Enabling Services SLM, and serve as a reference to other care team members on community resources.

Accountable to the…